A nurse is interviewing the parents of a 3-year-old child. Which of the following statements from the parents should the nurse recognize as a manifestation of a hearing loss in the child?
"Our child talks in a monotone voice."
"Our child repeats statements often."
"Our child responds quickly to questions in short sentences."
"Our child prefers to play in groups."
The Correct Answer is B
A. Talking in a monotone voice is not a typical indicator of hearing loss.
B. Repeating statements often is a common sign of hearing loss, as the child may not have heard the initial statement and is attempting to understand it.
C. Quick responses to questions and short sentences suggest normal hearing and comprehension.
D. Preferring to play in groups does not necessarily indicate a hearing issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Answer: Renal scarring and pyelonephritis
Rationale:
The child in this scenario is presenting with symptoms consistent with a urinary tract infection (UTI), which has been a recurring issue for the child due to the history of vesicoureteral reflux (VUR). VUR increases the risk of pyelonephritis, a type of kidney infection, because it allows urine to flow back into the kidneys, potentially leading to infection.
Pyelonephritis is the term used to describe a kidney infection, which can develop from untreated or recurrent UTIs.
Renal scarring is a long-term consequence of recurrent UTIs, especially in the context of VUR. The chronic infections can lead to scarring of the kidney tissue, potentially causing long-term kidney damage or dysfunction.
Acute glomerulonephritis and nephrotic syndrome are not as closely linked to this case. While both involve kidney issues, they do not typically result from recurrent UTIs or VUR in the same direct way.
Polycystic kidney disease is a genetic condition that typically does not relate to recurrent UTIs or VUR in young children.
Correct Answer is ["A","B","E"]
Explanation
A. C-reactive protein (CRP) is an inflammatory marker that increases in response to inflammation, including in conditions like rheumatic fever.
B. An elevated antistreptolysin O (ASO) titer indicates a recent streptococcal infection, which is a key contributor to the development of rheumatic fever.
C. Partial thromboplastin time (PTT) measures blood clotting, which is not directly related to diagnosing rheumatic fever.
D. Blood urea nitrogen (BUN) assesses kidney function and is not specific to diagnosing rheumatic fever.
E. Erythrocyte sedimentation rate (ESR) is another inflammatory marker that increases with infection and inflammation, helping to support the diagnosis of rheumatic fever.
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